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MRS. KELLY BROOKE DESTEFANO NPI 1073652194


NPI Information

NPI: 1073652194
Provider Name: MRS. KELLY BROOKE DESTEFANO
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
5509 POINT LAKE CT
HOLLY SPRINGS, NC
ZIP 27540
Phone: (919) 656-2901
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MRS. Kelly Brooke Destefano is a speech language pathologist in Holly Springs, NC. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MRS. Kelly Brooke Destefano NPI is 1073652194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5509 POINT LAKE CT
HOLLY SPRINGS, NC
ZIP 27540-349
Phone: (919) 656-2901
Fax: (888) 893-4354

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist7850NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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